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Home My WebLink About040-160-003BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 5 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0067 Issued: 01/11/2007 Address: 1890 CUMMINGS LN Area: DURHAM Owner: LITHGOW, BAIRD E & AAPN: 040-160-003 Applicant: BAIRD ROOFING CO Map Page: Permit Type: Re -Roof Description: REROOF - 18.5 COMP Flood Zone: AE SRA Area: No Set Backs Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122. Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 J d Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 1 802 Inspection Type IVR INSP DATE Do Not Insulate Until Above S gned Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactur d Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Finals Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 "PROJECT FINAL 801 S a rrqject r mal Is a %-ertnncate or occupancy for (xesiaenuai uniy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1890 CUMMINGS LN Owner: Permit No: B07-0067 APN: 040-160-003 LITHGOW, BAIRD E & MARLE Issued Date: 01/11/2007 By GLB Permit type: MISCELLANEOUS 13024 CENTERVILLE RD Subtype: Re -Roof CHICO, CA 95928 Expiration Date: 01/11/2008 Description: REROOF - 18.5 COMP Occupancy: Zoning: Contractor Applicant: Square Footage: BAIRD ROOFING CO ' BAII D ROOFING CO Building Garage RemdUAddn 11025 MIDWAY 11025 MIDWAY CHICO, CA 95928 CHICO, CA 95928 (530)342-1631 (530)342-1631 Other Porch/Patio Total FEE INFORMATION Re -Roofing $110.00 L Total Charged: $110.00 Fees Paid: $110.00 Balance Due: $0.00 Receipt No: B1477 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires BAIRD ROOFING CO 631460 / C39 / 10/31/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing wi Section 7000) of Division 3 of the Bu�*fness and Professions Code, and my license Pursuant to the provisions of the Cantractofs License Law (Chapter 9 (commencing with Section 7000) is in full force d effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to 01/11/2007 a civil penalty of not more than five hundred dollars ($500); Please check one of the following: Cont tor Si nature Date ❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this is issued. year of completion, the owner -builder will have the burden of proof that he or she did not build or permit improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractofs License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 238-0000367 04/01/2007 Policy Number. Carrier: r. . ExpDate: Contractor's License Law.). (This section need not a competed if the permit is or one hun red dollars ($100) or less. ❑IAM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 01/11/200 % compensatio provisions of Section 3700 of the Labor Code, I shall f hwith comply with those Owner's Signature Date provisions. X 01/11/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City County SignatU Date and ordinances, rules, regulations, and Slate laws relating to building WARNING: F E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the ATTORNEY'S FEES. use or Occup ncy of any sidewalk, street, or subsidewalk. I hereby orize representatives of Butte County to err the above mentioned property for inspec' pure . I hecertify that I am the property err or arli authorized to act on the p rty a e b If. (� 01/11/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ii1ame of a ittee [SIGN] Pri Date the performance of the work for which this permit is issued. (3097 civ. code) � f 1:1 Owner Contractor OR for Owner E]Agent oAgent for Contractor FILE COPY Lender's Address City ' State Zip BUTTE COUNTY O��TrF0 DEPARTMENT OF DEVELOPMENT SERVICES ® o BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o o A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds \�'o, ► v�y "PLEASE PRINT CLEARLY* OWNER INFORMATION Last Name first Namej,'n/ Mailing Address lelOo- J / City State 7 b Phone Fax E-mail APPLICAN INFORMATION CONTRACTOR Name Name efgz6a 'Oej("L4 �h Address ZzGdl�— No State City Phone Stat Zip Phone Page Fax/ �6 7110 E-mail Uc. /O Clas p APPLICAN INFORMATION ARCHITECT/ENGINEER Name CityTFaRT e Address Phone City No State Zip Phone Subdivision Name Fax E-mail Page State License Number APPLICAN INFORMATION Name Address CityTFaRT e Zip Phone E-mail For office use only: AN�rJ l90_ 0()o Zoning Flood Zone WORKER'S COMPENSATION SRA I Yes No Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the tine of permit issuance. Type Const. Subdivision Name Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 1 1 '0,0D BIN # PROJECT LOCATION AN�rJ l90_ 0()o Property AddressCity Cross Street Z_a� /(�o ' WORKER'S COMPENSATION Policy Number Carrier C5 If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the tine of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 4' Sq FT- Living Tarage Open Cov e ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff Date: Other \ �1 Total i -r QI 1,991 I V{d111W91 1 1 QA LV&. IV 1040-160-003 Find Go To Recent Assessor PIN or Tax Lot No. 1 _ L! - -- A -1 -1 -LV{.4n11V11- 1890 ICUMMINGS LN DURHAM Step by Site_addr This Parcel is LOCKED i Status JACTIVE - Type IPARCEL Parent Record Find Go Clear Last ILITHGOW- First 1BAIRD E & MARLEE A Full Name ILITHGOW, BAIRD E & MARLEE A 13024 CENTERVILLE RD Mailing Address City, St ICHICO Phone ) - Fay ) FcA Zip 195928 Cell ) - Pager =Utilities... - Related Records Attachments More Info "* I ArcView Link I Internet Link Imaging Link FULL SCREEN i CLOSE AP 4o-16-3 b h/,s Cummings Rd., app. 9001 W. of . . 40-16-3 'A.P.' 'DAVE JEFFRIESof Lott Rd., Durham| --' Permit 2384-73B Tt^."61 (new single family) � ! ' \ ' ill & Rose Heinr�lch J 1884 Cummlnjs ' U ./ . ` ` ~ � / ` | . U ./ . I 2 - PERMIT NUMBER B 2384-73B P E PERMIT EXPIRES OWNER Dave Jeffries JCONTR: ov mier LOCATION (A.P. 40-16-3 Off n Cummings Rd., app. 10001 Wl. of Lott Rd. , Durham 73 0/1 DATE REMARKS OR CORRECTIONS 31,E h 1 ' COUNTY OF BUTTE Department of `Public Works BUILDING INSPECTION RECORD Zoning. t,* Setback �" G(� "' ?? Forms, Foundation Piers & Girders- Fireplace Rgh. Plumbing �� ' '7_ Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test _ 2 - 7 Found. Vents Framing V— -7-3, Plmg. Topout -/'� = 7. Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC. GAS BUILDING Temporary U Temporary g� 7 %i Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS 31,E h 1 ' 1�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534'4541 APPLICATION AND PERMIT ouuwi�cc icNi cacniauvca ul UIC uumity uI ttutte to enter upon ine above mentioned property for inspection purposes. X Date Signature of Pe ee or %eL Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY � t Date $udding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace _ Contractor Total Valuation Mailing Address / «; Jai �F? .� Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Q G Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent j 1.50 y I /_ A. P. No. / (� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation I Fire Dept. IFire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval r Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER JZ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0 12 Z - Main service incl. 1 meter Cv Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) , Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Lig20 P b ixtur s ba_ ildi� v, R it ., s hes & fix out ets 207x25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ZZ4f6(/T% Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or het pumTs— Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No./� %G01 d Classification C` �l/ Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby L MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE _ $Qi ouuwi�cc icNi cacniauvca ul UIC uumity uI ttutte to enter upon ine above mentioned property for inspection purposes. X Date Signature of Pe ee or %eL Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY � t Date $udding permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK �� n 7 County Center Drive — Oroville, California 95965 ` Tel ephbne: 5344541 APPLICATION AND PERMIT authorze representatives of the County or Butte to enter upon the above-mentioned property for ins ction purposes. X e DateX# -3 Signature of/P► r it e/1 Agent Receipt No. /Ugd��n White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR,GF PUBLIC WORKS BY Date %-1 2-- 71 Building permit expires Dat® 2-1 Z,-7 . BUILDING Owner SQ. FT. OCC. BUILDING VALUATION /! Mailing Address O Telephone No. Fireplace -V Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty e Tlephone No. Permit Fee $ oK $ Building Address f%j PLUMBING No.1 @ I FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Q .,�6 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration p 60' R/W _FParcel Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd 410, Parcel Approval Plan pproval Permit Fee NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 21 Light fixtures baI( io _20 fai 25 Receps., switches & fix outlets 1010 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 19 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee TOTAL PERMIT FEE authorze representatives of the County or Butte to enter upon the above-mentioned property for ins ction purposes. X e DateX# -3 Signature of/P► r it e/1 Agent Receipt No. /Ugd��n White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR,GF PUBLIC WORKS BY Date %-1 2-- 71 Building permit expires Dat® 2-1 Z,-7 . • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive — Oroville, California 95965 Telephone: 5344541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. _ D X � Date / 3 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY QDate " 2,4— 73 4u. ing permit expires Date ....,.._.. BUILDING Owner C, -SQ. C,- s FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ° Total Valuation _ Mailing Addresslop-0 5G 67 Ae 'e— Permit Fee Plan Checking Fee&/or Penalty elephone No. Permit Fee $ Building Address .L/' PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 Z lC 6L 11 DD [mac_) a Each Trap 1.50 Repair drainage or vent piping 1.50 ' Water piping 1.50 / /3p Each gas water heater or vent 1.50 A. P. No. — 3 ------------ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. I Sanitation Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 00 4i. Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ Q� NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Z Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater j 1.00 205 Light fixtures pal d10 Receps., switches & fix outlets2u 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. .Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ISI I have placed on file with the County of Butte a certificate of 1� Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE $ % Qa authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. _ D X � Date / 3 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY QDate " 2,4— 73 4u. ing permit expires Date ....,.._.. . - � ..� /' 1� � ` . n 6 . ,� ' 7 J 'A — � �.�� 1 ay E t� � ��. t •1 `1 V" r l , .£ �, � i \ i � , i `f� �+1 rs \ � ` t ., r� . .a' i � . t.:` t r:l � � /� v ,.ti's ; � iJ�� t i ` � {� �r _� r �'J ` , ,' i +� 1 7 i �� . � � ��z �i��,�� t �ERMIT NO. 569-16B PERMIT EXPIRES I/ /i/rl/ OWNER Dave Jefferies CONTR. owner LOCATION (A.P. 40-16-3 N/S.Cummings Rd.,app. 900' W. of Lott Rd., Durham Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB f�09 aq�� FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONAECO'RD , BUILDING_ BUILDING (Cont'd) „ PLUMBI Setback '�—'7� µ Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing 4 Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Z —'Z Sanitation a" -e—/ FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat. Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANI AL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish "% Ducts Underground Interior Lath - Ventilation Permanent Door Closer Final Final , DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ' COUNTY OF BUTTE — CrEPAR]fMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 9 m pieocniauves 01 Ule Gounly UI Butte to enter upon the above-mentioned propefor in _ pection purposes. x Date Signature of Perm t e Agentt—^-� Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR OF P BLIC WORKS By Date ;Ili (ding permit expires Date 2—Y-7 / BUILDI G Owner —'� G C— SQ. FT. OCC. DING VALUATION Mailing Address 17 O P-0ye Hzml el hone SAO Fireplace Contractor Total Valuation �, cjQ• Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building AddressPLUMBING /7 C, — No.1 @ FEE PERMIT FILING FEE $3.00 8 X 0 Each Trap 1.50 D19 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking ans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Idg. Plans Recd Parc pproval Plans Approval Permit Fee $ NEW ❑ ADDITION ice' UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C C� Main service 600V OR 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family, Duplex ❑ Mobil Home ❑ Others ❑ Main service 100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS. ( ACCLBLDGLINGOCCUP. &) 20sgft NEWCONSTR. MULTI -OUTLET NON.RESID. (BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS RESID. (LATU& NON- R SINGLE OUTET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) P� BAL01 OJ Ex. Occup.(OUT ETSP(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on' file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner s . as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Ou thn.' ..s TOTAL PERMIT FEE $ . ®� m pieocniauves 01 Ule Gounly UI Butte to enter upon the above-mentioned propefor in _ pection purposes. x Date Signature of Perm t e Agentt—^-� Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR OF P BLIC WORKS By Date ;Ili (ding permit expires Date 2—Y-7 / 'PERMIT NO. 776-75B,P,E,M P E M 1 IMH UTIL. ,,PERMIT NO. PERMIT EXPIRES —/-7 Co ;OWNER Dave Jeffries CONTR. OCATION (A.P. 40-16-3 ) n/ s Cummings Rd . , app. 9001 W. of Lott Rd., Durham Temp. Power Pole Called PG&E TemP—Elec. Serv. Z — ? `Called PG&E _ L. — Z q— 7&P S• esip, Gas Serv. �� " 7 }, Called PG&E "% (a S JOB "7 FINALED (Date) (Signature) i r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC -WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1 s „ VIA8 Main Bldg. Restroom Finish 2nd Floor Footings ; S Windows(,, -a CS 7 3rd Floor Stemwal l . Siding To out Slab Roof Sheathing' Water Piping Piers Roofing — �j Sewer • Garage i Fdn. Vents Fixtures Footings Garage Vents `---- Water Htr. StemwalI Prov. for physically Heaters - Slab V handicapped Appliances Carport A Conformance of ex. Gas Piping & Test —7 Footings structure Temp. Gas Slab. Final Sanitation ' Patio FIREPLACE Final 7 Footings Footing ELECTRICAL Masonry Walls Throat X Rough Reinf. Steel Final Fixtures Bond Beam FIR SPRI LE S Motors Framing o�J`� 7�— Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. c Scratch Heating `Z— Z 77 Service 7 � Brown X Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation — Z --7 Permanent Z— Z fes-- -7 2-7� Door Closer Final -- Z<4— Final DATE �7 REMARKS OR CORRECTIONS RAN& 4tqc4�,L .AL X 14 VO ?Z44-677c� ek eFikt�o cls " z'"c D t) E&/7- 20x614 IN o!� %.l2. (J F.A17' & K- -d AZO vt G� U)A-`7.� 7_j55-7_" 1�j O/C �-7' f'►'r�1'/�/ Qqn/!�� `a u —i— N 07— z,- 7 — �4T vr! - O F / 5 P DN - PA -0V AE-, L_ -z--z- ERSET COMPANY LICs"RED CONTRACTOR Insulation — Weatherstripping — Accoustical Tile P. 0. Box 3506 Chico, California Phone 342-4764 Date �-(o TQ / (Pu:a� (N . and Street)) (City and Ste)A) r - THIS IS TO CERTIFY THAT INSULATION HAS BEEN -INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number EXTERIOR WALLS Manufacturer c` :� . Thickness/Type 1�� R Value Tract No. CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer 'S412_ Thickness No. Bags C%Q Wt./Bag Sq. Ft. Covered R Value FLOORS r Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENE_P.4L CONTRACT LICENSE NUMBER ZAPA �7 t�.HNT TIT DATE I SUL TLICENSE NUMBER �7 B Ql///Xn.2 1,X/ _ r� T L E ) DATE ( DATE) ACCEPTED SAVE ENERGY - INSULATE! H RSETH COMPANY Ok (Authorized Representative) ✓_ -N— •C OUNTY OF BUTTE – DEPARTMENT OF PUBLIC W - y 7 County Center Drive — Oroville, California 95965 b Telephone: 534-4541 APPLICATION AND PERMIT auuionze representifUVCS VI l.OUnty Of tsutte to enter upon the above-mentioned property for pection purposes. X < r � _Date gnature ofP r it r Agent Receipt No. Joy White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte'County Code and/or resolutions to do work indicated above for which fees have been paid. D15F,CTOR OF UBLIC WORKS By f Date —/ Building permit expires Date............. BUILDI G Owner l SQ. FT. OCC. BUILDING VALUATION Mailing Address e 1 — Telephone o,, Fireplace Contractor - Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ �f Building Address w� s PLUMBING No. @ FEE PERMIT FILING FEE goo Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 0 Each gas water heater or vent 1.50 A. P. N r-+ ! o� tanning Gas piping system 1 - 5 outlets 1.�0 Each additional outlet .30 ees W.C. Sanit Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA IParking Plans ParcelParcel Declaration Ma p 60'R/W Im rove nts P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel royal Plon Approval - Permit Fee $ s IS NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEEPERMIT FILING FEE $3.00 S,00 Main service incl. 1 meter Additional meterseach 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) a Range, Cook -top or Oven 1.00 • Water Heater or Space Heater 1.00 ht fixtures 201925 Libal 0 R e , swit hes & fix o tlets J4 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: • Hood, Ex. Fan orF.A._Furn,. Mqter / 1.00 Evap.cool er,•gar. isp.or rw. 1.00 42 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 ' Temp. Power Pole 5.00 Lic nse No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ RS WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation., ❑ I have placed`on file with the County of Butte a certificate of Workmen's Compensation Insurance. dl certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to' building construction, and hereby L MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 d Heating Cooling Ventilation Hood 2.00 Permit Fee TOTAL P PERMIT FEE $ auuionze representifUVCS VI l.OUnty Of tsutte to enter upon the above-mentioned property for pection purposes. X < r � _Date gnature ofP r it r Agent Receipt No. Joy White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte'County Code and/or resolutions to do work indicated above for which fees have been paid. D15F,CTOR OF UBLIC WORKS By f Date —/ Building permit expires Date............. r �� e � � .. , . �� '< } ., _ �`i 1 -�. �; � � � � � � f ,. � '_ � r i .. \o ., L �. .. " - � `�., 7 � .� ' � e r 1 "� . _ � a . � C. . r .'` •'i`� r 1742-81B,E,M PERMIT NO. ' j • PERMIT EXPIRES OWNER B. -ill ,"& Rose Heinrich CONTR. owner 40-16-3 ASSESSOR PARCEL LOCATION 1884 Cummings Lane, Durham l �A { t t Temp. Power Pole Called PG&E Temp. Elec. Service ! 4 Called PG&E Temp. Gas Service, Cal led PG& r JOB FINAL D (Date) r Signatur r J = OK c - O = Not OK } p = Not Applicable t RESIDENTIAL )Single and Duplex) ((( 1 � Not Ready r 1 Date UNDERFLO Plans OK except #'sl Date FRAMING C ntinued f 1. Zoning re uirements-Setbacks-Easements irewal`I & Openings ' 2. Ftg., MaiA Soils -Steel -Elect Grnd.- / /" Ftg. Deptht. Doors -One 3' -Check Garage -3rd Story, 2 exits 3. Ftg., Gara ; Soils -Steel- '/Y' Ftg. Depth -Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porch s & Decks; Soils -Steel- / /" Ftg. Depth ywo on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, in; Steel-Blockouts-Wrapped-Slab ing-Nailing-Veneer 6. Stemwalls, G rage; Steel-Blockouts-Wrapped-Slab 5 Drip Screed-Fdn. Vents-Underflr. Access 7. Piers-Firepla a Ftg.-Steel azing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall- ittings-Test-2 way C/0 -Sewer Test -IIs; Nailing -Bolts 9. Gas Pipe; Size Anchors 10. Water Pipe; Te t -Anchors -Regulator -Service Test 11. Electric; Underg ound 12. Plenums & Ducts Clearance -Material -Support -Ins. 13. Girders -Sills -An or Bolts -Joists -Vents -Cripples Card -BI Dat Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Card -131 Date Date PLUMBING (Permit OK except #'s 57. Smoke Detector 14. Water Ht.; Vent ,Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; TesJ & Anchors -Nail Protection 16. D.W.V.; Test -F Ings & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Tes , First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Show r, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & nchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65• Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date LE CAL Permit OK except #'s 68. A.C. Duct in Garage -Damper Vxtjjre & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection ec. Receptacles Spacing -Lights &Switches at Doors S' a Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location R ex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 2 Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes _ its in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes J 1-ga. Cu or AI -Oven Circ. /- / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ g ❑ Yes ❑ No; Walks ❑ Yes No; Planters El Yes ❑ Noonductors -28=4g4ice-Riser C&Ground -Main Disconnect 2� 8,Q ceg Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish _ 30r2fvt�s Closet Lig Light -Shower Light 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing Card -BI Date26MCard-BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House 82. Glass Protection Date MECH�83. CAL (Permit) OK except #'s Corrections from Previous Inspections C. Ducts; Insulation & Support 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval Exhaust above Insulation[e _ iT 39--6ondertSd Drain &Overflow; Size &Grade 86. Energy Compliance Certificate -Other Certificates e -Verb; Access -Comb. Air -Return Air Vent -115V outlet 35.-A.u4e-At�cess & Platform if Furnace in Attic Card -BI v- ate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMI Plans) OK except #'s Comments at Final: 3 l !Proper Material & Anchors _ 3 alls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ _a 6_Beartl>�yVaTls over Girders & Floor Nailing Walls (rat proof) res; Furred Ceilings -Stairs -Chases -Tub _ _ Bader & Beam -Size & Bearing ngers-Post Caps -Anchors -Connectors ca t Ina o Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. _ "_--E-icepiaee-Wes or Type A Flue -Fireplace Throat -is Access; Size & Romex Protection -Draft Stop -Ins. Baffles "Bnrnr-V�indwvs or Exiting Doors -Sill Hgt. & Dimensions _ -rage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) = OK = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBIL4HOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L" ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card _131 Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED. I CO ORMANCE WITH RRENT ENERGY CONSERVATION REGULATIONS AT (1 -ation) BU ILD ING PERMIT NO . /`%�[Z �� A P . NO. - 3 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls / Floors _ Walls — Ceiling/Roof Ducts Circulating Pipes / APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed i Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS._ BACK DAMPERED FANS INTERMITTENT IGNITION DEV CES CERT. APPLIANCES XJ A: I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name �%/,� 2k2c. Signature of (please print) Insulation Applicator General Contractor Signature of General•Contractor/ State Contractors License No. State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS PER IT NO. 7 County Center Drive - Oroville„California 95965 -Telephone 916/534-4 1 APPLICATION AND PERMIT t ASSESSOR PARCEL NUMBERZONING U — -- BUILDING PERMIT 7 WNE ®�i ro ELEPHONE SQ.FT. OCCC. BUILDINGG VALUATION WN 'S MAILI G ADD 55 '/' , /�/ �/ a,g CON RACTO 'S NAME TELEPHONE CONTRACTOR'S IIN DDRESS Fireplace CONSTRUCTION L DER - UNKNOWN Total Valuation $ vO v Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ rip ARCHITECT OR ENGINEER N AJ LICENSE NO. Plan Checking Fee $ e o C• Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ v o BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping T NO. SUBDIVISION NAME PARCEL MAP Each pas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Additiono Remodel ❑ Uti I'ties Installation ❑ Other Des c ibe work: l G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V ORr Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING O-1 OR AODNS. l ACC. BLDG 20 Sq ft D Ll0 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions•of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -Du T 2.50 ea NON-RESID BRANCH CIRC TS NEW CONSTR.POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES 5 0 250 IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ C/o Contractor , MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation J 00 Permit Fee S p Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may •in any way accrue against s County in conse•uence of the granting of this permit. X Date / . Signature of'Applicant - O'wner,z Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ` Vic) OCCUP. GROUP p"'3 I TYPE OF CONST. v— IV PARCEL r/ PD HD .'-- 99uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY P64WIT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date �� Receipt No. &J 0,�7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT